Dr Mara Liz Fernandez-santiago, MD | |
3400 Olentangy River Rd, Columbus, OH 43202-1523 | |
(414) 805-3666 | |
(414) 805-6980 |
Full Name | Dr Mara Liz Fernandez-santiago |
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Gender | Female |
Speciality | Pathology |
Experience | 13 Years |
Location | 3400 Olentangy River Rd, Columbus, Ohio |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235493867 | NPI | - | NPPES |
1235493867 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 75160 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ohio Gastroenterology Group, Inc. | 0143211284 | 106 |
Entity Name | Ohio Gastroenterology Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124197637 PECOS PAC ID: 0143211284 Enrollment ID: O20040519000407 |
Mailing Address | Practice Location Address |
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Dr Mara Liz Fernandez-santiago, MD 3400 Olentangy River Rd, Columbus, OH 43202-1523 Ph: (614) 754-5500 | Dr Mara Liz Fernandez-santiago, MD 3400 Olentangy River Rd, Columbus, OH 43202-1523 Ph: (414) 805-3666 |
Nicholas T Wongchaowart, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 3535 Olentangy River Rd, Rmh Pathology Dept, Columbus, OH 43214 Phone: 614-566-4945 Fax: 614-263-1056 | |
Dr. Andres Gustavo Madrigal, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 2001 Polaris Pkwy, Columbus, OH 43240 Phone: 614-366-7015 Fax: 614-293-7013 | |
Dr. Leo Anthony Niemeier, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 3535 Olentangy River Rd, Rmh Pathology Dept - Corpath, Columbus, OH 43214 Phone: 614-566-4945 Fax: 614-263-1056 | |
Aharon Gideon Freud, M.D., PH.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 410 W 10th Ave, Columbus, OH 43210 Phone: 614-292-5905 Fax: 614-293-4715 | |
Dr. Wegahta Tesfay Weldemichael, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 410 W 10th Ave, Columbus, OH 43210 Phone: 614-293-5905 Fax: 614-293-4715 | |
Dr. Allen Green Jr., MD Pathology Medicare: Medicare Enrolled Practice Location: 500 Thomas Ln Ste 3a, Columbus, OH 43214 Phone: 843-331-8330 | |
Dr. Iouri Ivanov, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 410 W 10th Ave, Columbus, OH 43210 Phone: 614-293-5905 Fax: 614-293-4715 |